Active NPI
Jeffrey D. Sevener, D.D.S., P.C.
Doing business as Pinnacle Dental Group
- General Practice Dentistry
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17061
- Legal business name
- JEFFREY D. SEVENER, D.D.S., P.C.
- Doing business as
- Pinnacle Dental Group
- Practice address
- 1827 W Sherman Blvd
Muskegon, MI 49441-3477 - Phone
- (231) 755-6515
- Fax
- (231) 755-9632
- NPI assigned
- Aug 4, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey David Sevener, D.D.S.
- Title
- President
- Phone
- (231) 755-6515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17061 | MI | Primary |
Addresses
Primary practice location
1827 W Sherman Blvd
Muskegon, MI 49441-3477
Mailing address
1827 W Sherman Blvd
Muskegon, MI 49441-3477
Phone (231) 755-6515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4435015 | Medicaid | MI |
Other names 1
- Pinnacle Dental Group
National Provider Directory
National Provider DirectoryLocations
1827 W Sherman Blvd
Norton Shores, MI 49441
Phone (231) 755-4151
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Muskegon, MI
- NPI 1184953192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205844081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 W SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494413477",
"telephone_number": "231-755-6515",
"fax_number": "231-755-9632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 W SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494413477",
"telephone_number": "231-755-6515",
"fax_number": "231-755-9632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY D. SEVENER, D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SEVENER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "231-755-6515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "17061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4435015",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pinnacle Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.